BRIAN J PADRTA M.D.
NPI 1639146285
Orthopaedic Surgery - Foot and Ankle Surgery in Spokane, WA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
212 E CENTRAL AVE, STE 140, SPOKANE, WA 99208(509) 465-1300(509) 465-1313 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian J Padrta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN J PADRTA M.D. (NPI 1639146285) is an individual foot and ankle surgery provider in Spokane, Washington, licensed in Washington (MD00032721) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Holy Family Hospital, and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1639146285
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameBRIAN J PADRTACredential: M.D.
Location Address212 E CENTRAL AVE, STE 140Spokane, WA 99208-6289
Mailing Address601 W 5th Ave, Suite 400Spokane, WA 99204-2715 · (509) 344-2663 · Fax (509) 624-9179
Fax(509) 465-1313
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1989
Enumeration DateMarch 2, 2006
Last NPPES UpdateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
NPI 1639146285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License Licensed in WA · MD00032721
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
212 E CENTRAL AVE, Spokane, WA 99208

Secondary Practice Location 1

Location 1601 W 5th Ave Ste 500Spokane, WA 99204-2756 · Phone (509) 344-8672 · Fax (509) 747-7838

Other Identifiers 10

Medicaid003296700ID
Other000010004369ID · Regence Blue Shield Of Id
Other100723WA · Dept Of Labor & Industrie
Other379109600WA · Owcp
Other200022105WA · Rr Medicare
Other6512WA · Group Health Nw
Medicaid1094937WA
OtherK6443ID · Blue Cross Of Idaho
OtherPA6715WA · Asuris Nw Health
Other8940287WA · Crime Victimes

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brian J Padrta M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395736946
PECOS Enrollment IDI20091223000266
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services108 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
72 services48 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
69 services47 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
66 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services44 patients
Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
37 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501331
Location835 S Bishop BlvdPullman, WA 99163 · Whitman County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
48%452 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,003 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%236 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
46%334 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%576 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
43%1,464 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
75%404 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
63%913 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 201 patients
Patients tobacco: 35% · 23 patients
88%196 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%1,464 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%1,464 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
43%1,464 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$18.27 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
4 suppliers31 claims31 services$265.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
212 E CENTRAL AVE, SUITE 440
SPOKANE, WA 99208
Dietitian, Registered
212 E CENTRAL AVE, STE. 440
SPOKANE, WA 99208
Internal Medicine (Cardiovascular Disease)
212 E CENTRAL AVE, SUITE 240
SPOKANE, WA 99208
Physician Assistant
212 E CENTRAL AVE, STE 140
SPOKANE, WA 99208
Family Medicine
212 E CENTRAL AVE, SUITE 440
SPOKANE, WA 99208
Physician Assistant (Surgical)
212 E CENTRAL AVE, SUITE 245
SPOKANE, WA 99208
Internal Medicine (Pulmonary Disease)
212 E CENTRAL AVE, SUITE 315
SPOKANE, WA 99208
Neurological Surgery
212 E CENTRAL AVE, SUITE 360
SPOKANE, WA 99208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Padrta's NPI number?

The NPI number for Brian Padrta is 1639146285. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Brian Padrta located?

Brian Padrta practices at 212 E Central Ave Ste 140, Spokane, WA 99208. The listed phone number is (509) 465-1300.

What is Brian Padrta's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Brian Padrta enrolled in Medicare?

Yes. Brian Padrta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Padrta accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Brian Padrta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Padrta affiliated with any hospitals?

According to CMS data, Brian Padrta is affiliated with Providence Holy Family Hospital and Pullman Regional Hospital.

When was this NPI record last updated?

The NPPES record for Brian Padrta was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.